*FIRST NAME: MIDDLE INITIAL:

*LAST NAME:

*MAILING ADDRESS:

*CITY:

*STATE: *ZIP: *COUNTRY:

*PHONE (DAY):

PHONE (EVENING): (MOBILE):

*E-MAIL: *AGE:

WHAT COLLEGE DID YOU GRADUATE FROM?

WHAT WAS YOUR MAJOR/STUDY OF FOCUS?

*TELL THE TEA COUNCIL WHY YOU ARE THE PERFECT CANDIDATE FOR THE “SIP OF SUCCESS” DREAM JOB INTERNSHIP: